CARMEN MARIE WILSON NPI 1740874536

NPI Information

  • NPI: 1740874536
  • Provider Name: CARMEN MARIE WILSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 725 CENTER AVE
    MOORHEAD, MN
    ZIP 56560
  • Phone: (507) 720-7775

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NPI Details

Carmen Marie Wilson is an addiction (substance use disorder) counselor in Moorhead, MN. Carmen Marie Wilson NPI is 1740874536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 CENTER AVE
MOORHEAD, MN
ZIP 56560-958
Phone: (507) 720-7775
Fax: (218) 287-1267

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)2467908MINNESOTANo
2101YA0400XCounselorAddiction (Substance Use Disorder)302876MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11444799OTHERMINNESOTAMN DHS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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